Protecting privacy in CareConnect
Work group evaluates options surrounding patient confidentiality

Important decisions are being made
daily about CareConnect, UCLA's
electronic health record program,
which will affect about 15,000 future
users and improve the care we
provide to every one of our patients.

Many complex decisions go through
an extensive approval process --
discussion at validation sessions,
by work groups, and by advisory
groups before being considered
by
CareConnect's Executive
Oversight Board
-- including some
that surround the issue of patient
confidentiality.

A
Confidentiality Work Group,
made up of faculty and staff
members from
clinical,
medical records,
privacy,
and information security departments
,
was formed specifically to evaluate CareConnect functions relating to protecting
patient records.

"Our patients trust UCLA Health System with their health and personal
information. We're committed to protecting patient privacy, and we're working
through this work group to incorporate the required protections into
CareConnect," said Ann S. Chang, chief information security officer, UCLA
Health System and David Geffen School of Medicine at UCLA.
...Though there is a significant amount of work ahead to evaluate all options
provided by CareConnect, Chang is confident the system will streamline and
improve current processes.

"CareConnect is one system that will replace 65 systems. We will only have to
address breaking the glass in one system; we will only have one system to
audit. That helps us to be more consistent. We will be able to protect patient
privacy in CareConnect in a more consistent and thorough manner than ever
before," she said.
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Robert Gross (left), chief privacy officer, and Ann S. Chang  
(right), chief information security officer,
review
CareConnect workflows related to patient confidentiality.
Margrit Carlson, MD, (left) a specialist in infectious diseases,
asks a question, as
Paula Van Gelder (center), assistant
director, health information management services; and
Angela Price (right), project manager, faculty practice group
- ambulatory operations, look on.
The CareConnect Program
UCLA's electronic health record program

CareConnect is UCLA's electronic health record (EHR) program. The system will integrate
functions currently performed by approximately 65 software applications into a single
system accessible across the health system and available around-the-clock to clinical
faculty and staff members.

Much of CareConnect's functionality will be rolled out in a single day on March 1, 2013:

March 1, 2013: Scheduling, registration, billing, ADT, HIM, and health plan management
at all hospitals (Ronald Reagan UCLA Medical Center, Resnick Neuropsychiatric Hospital
at UCLA, and UCLA Medical Center, Santa Monica)

Scheduling, registration, referrals, and authorizations for UCLA managed care members
at all clinics
Clinical applications - pharmacy, Computerized Provider Order Entry (CPOE),
documentation, radiology, rounding lists - at all hospitals
Computerized Provider Order Entry (CPOE) and documentation at a group of clinics and
procedure areas in our hospitals (Wave 0)
CareConnect Lite as a replacement for cView at all clinics (except those in Wave 0)
June 2013 - February 2014: Clinical applications (CPOE and documentation) and the
patient portal (MyChart) will be rolled out to clinics in waves. (See the ambulatory
sequencing schedule.)

See the CareConnect implementation timeline.

An estimated 15,000 faculty and staff members will use CareConnect, including
physicians, pharmacists, nurses, advanced-practice nurses, other clinicians, trainees,
students, and staff members working with scheduling, registration, billing, patient
placement (ADT), and hospital information management (HIM).

The CareConnect program is led by a team with expertise in EHR implementation and
deep institutional knowledge of our health system.

The CareConnect program is overseen by an Executive Oversight Board composed of
leaders from UCLA Health System and David Geffen School of Medicine, which developed
11 principles to guide development and implementation of CareConnect.

"The CareConnect program is a once-in-a-generation opportunity to work together as an
organization to really change how we deliver health care," said
Patricia Kapur,
MD,
interim co-president of the UCLA Faculty Practice Group,
chairperson of the department of anesthesiology, and member of
CareConnect's Executive Oversight Board.
"It puts UCLA in an excellent position
for examining and enhancing processes that support the overall care experience."

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UCSF
UCLA EHR project gets help from Sarah Kramer
Posted on Mar 01, 2011
By Molly Merrill, Associate Editor
Healthcare IT News
http://www.healthcareitnews.com

UCLA Health System’s electronic health record program has a new name and a new
leader: former eHealth Ontario CEO Sarah Kramer, according to recent
announcements on the program's website.

As the executive director for UCLA’s CareConnect program, Kramer is working as a
consultant and is not on the staff at this time, officials said. The website says that the
new name reflects both the breadth of the program and the benefits that will result from
its implementation, which is slated for 2012-2013,

According to the announcement, Kramer’s first area of focus will be to work in
collaboration with UCLA Health System's clinical leadership to ensure the electronic
health records program is designed to support the delivery of leading-edge patient
care, research and education at UCLA.

The CareConnect program is using technology from Verona, Wis.-based Epic, but the
actual implementation will be tailored to UCLA's needs, according to a statement by
Michael Steinberg, MD, chair of the executive oversight board, on the CareConnect
website. The rollout will start with scheduling, registration, billing and ambulatory
clinicals followed by inpatient clinicals.

[See also: EHR network in Minnesota to connect 10 healthcare organizations]

"The CareConnect program is a once-in-a-generation opportunity to work together as
an organization to really change how we deliver health are," said Patricia Kapur, MD, co-
chair of the Faculty Practice Group and chair of the Department of Anesthesiology, in
the annoucement about the new name. "It puts UCLA in an excellent position for
examining and enhancing processes that support the overall care experience."

[See also: Yale New Haven Health System plans $250M EHR system]

Kramer resigned from her post at CEO of eHealth Ontario, when the agency
came under media fire about questionable spending and disputed contracts
worth $5.6 million. The Auditor General of Ontario conducted a report on the
allegations. Read Kramer’s response to the report here.

Learn more about the program at the CareConnect program website here.
Source URL: http://www.healthcareitnews.com/news/ucla-ehr-project-gets-help-sarah-
kramer
Former eHealth boss
resurfaces in U.S.
By: Rob Ferguson
The Star
March 1, 2011

Almost two years after she left as
boss of eHealth Ontario in a politically
damaging scandal, Sarah
Kramer has a new job in California.

Kramer, who came under fire at eHealth for runaway spending by consultants and her
$317,000 severance package, is executive director of a team bringing electronic health
records to the UCLA Health System’s patients in four hospitals and clinics with 2,000
doctors. She is working as a consultant, and is not on staff.

Kramer is part of what the University of California at Los Angeles billed as “an
exceptional team of experts” in an online publication Monday.

The goal is to have electronic health records for patients by mid-2013 — two years
ahead of the latest deadline for Ontario, where the eHealth scandal stymied progress.

When Kramer left eHealth as chief executive in the spring of 2008,
her golden parachute fuelled outrage from opposition parties and the
public.

It was later revealed Kramer gave a speech that cost $25,000 to
write and that eHealth gave out $16 million in contracts without
competitive bidding
in efforts to get electronic health records in place as quickly
as possible.

But a furor over the spending prompted Premier Dalton
McGuinty to crack down on rules for tendering of contracts and
expenses by consultants, some of whom were paid up to
$3,000 a day
and charged tea and chocolate chip cookies to taxpayers.

Kramer did not reply to an email seeking comment about her new job.

The UCLA memo adds: “Kramer has an extensive background in health system
information and performance improvement across government, non-profit and private
sectors in Canada, the United States, Asia and Africa.”

Electronic health records will allow the health system to help the health system “deliver
leading-edge patient care…and to remain prominent in the markets we serve,” the
memo said.
Sarah Kramer should fit in perfectly at
UCLA CareConnect
Kramer's $114,000 bonus was double eHealth's allowable
rate
Cancer Care Ontario CEO says no one there was getting such bonuses
CBC News
Jun 05, 2009

EHealth Ontario CEO Sarah Kramer's six-figure bonus was double the maximum rate
allowed at the Crown-owned agency, a spokeswoman for the organization has
confirmed.

EHealth Ontario first came under scrutiny last week for nearly $5 million doled out in
untendered contracts, with more than half questioned over personal ties to company
executives. ((CBC))

In early March, four months after Kramer started her post at the newly created agency,
its board of directors approved a $114,000 bonus, on top of her $380,000 salary.

Under eHealth's regulations, however, executives are permitted to receive a bonus
ranging from zero to 15 per cent of their salary, spokeswoman Deanna Allen told CBC
News.

Fifteen per cent would amount to $57,000 under Kramer's current salary. However,
she received a bonus worth 30 per cent.

Asked by CBC News whether she had an explanation for why Kramer's bonus was
double the highest allowable rate, Allen responded, "No, I don't."

The letter notifying Kramer of her approved bonus was signed by Dr. Alan Hudson,
chairman of the board of directors and the former head of Cancer Care.

Hudson and Kramer have been under fire since late last week for awarding more than
$5.5 million in untendered contracts, more than half of which have raised questions
about personal connections to the vendors...